Director, Federal Regulatory Affairs

ORGANIZATION 

The Pharmaceutical Care Management Association (PCMA) is the national association representing America’s pharmacy benefit managers (PBMs). PBMs are the key industry in America addressing the challenge of reducing costs, expanding access, and improving the quality   of pharmacy benefits.

PBMs administer prescription drug plans for more than 275 million Americans who have health insurance from a variety of sponsors, including commercial health plans, self-insured employer plans, union plans, Medicare Part D plans, the Federal Employees Health Benefits Program (FEHBP), state government employee plans, managed Medicaid plans, and others.

PCMA leads the effort in advocating on behalf of the industry for public policies that enable PBMs to succeed in their mission of improving access to affordable prescription drugs for patients and driving down costs for payers. 

PCMA believes that organizational and employee success requires a diverse, equitable, and inclusive workforce, and a culture that embraces and encourages different perspectives. We recognize the inherent value in employing a workforce with a range of experiences and it is our commitment to embrace every person’s uniqueness and to provide a professional work environment where everyone is welcome and treated with dignity and respect.

KEY RESPONSIBILITIES

The Director, Federal Regulatory Affairs, will participate in PCMA’s engagement on behalf of the PBM industry with federal executive branch agencies. In consultation with our member company workgroup representatives and with oversight, they will develop public-facing materials such as comment letters, presentations, and memos to advocate for the industry’s positions in response to, or to call for regulations or guidance regarding prescription drug benefits or other industry-specific topics. In addition to regulatory work, the Director will collaborate with Policy, Research, Federal Legislative Affairs, Public Affairs, and other colleagues on talking points, policy briefs, and infographics. This person will at times need to explain technical issues to policymakers and senior leadership. They must understand the substantive policy issues associated with PBMs and how PBMs fit into the overall national health care policy debate. Our regulatory efforts are aimed at Medicare Parts B and D, Medicaid, individual insurance sold on the health insurance exchanges and otherwise, employer sponsored insurance, health information technology including privacy and cybersecurity, and other regulatory frameworks that affect the pricing and coverage of prescription pharmaceuticals in these business lines. 

The Director, Federal Regulatory Affairs duties will include:

• Drafting summaries of relevant guidance and regulations, public comment letters, and other external and internal-facing content for advocacy materials and issue briefs; participating in the development of policy and advocacy white papers; visualizing arguments as infographics and developing the basis for infographics.

• Monitoring and providing timely and insightful reports on developments and trends specific to the industry’s regulatory concerns.

• Collaborating with colleagues to identify PCMA and industry legislative, regulatory, policy, and political opportunities and risks.

• Assessing the prescription drug and health care policy, economic, and industry landscapes to help formulate and recommend positioning for the industry.

• Developing and drafting arguments to support or oppose legislative, regulatory, or other policies.

• Collaborating across PCMA departments to inform policy, legislative, and regulatory development and achieve PCMA and industry objectives.

• Establishing and maintaining a network of contacts in the healthcare arena, including in trade associations, advocacy organizations, and others as directed.

• Completing relevant projects in support of organizational objectives as assigned.

PROFESSIONAL EXPERIENCE/QUALIFICATIONS

The Director, Federal Regulatory Affairs, must be an excellent writer and analyst, and a self-directed, strategic thinker, who enjoys working in a collaborative, nimble organization. They will have a minimum of 5 years of experience in relevant pharmacy benefits management, pharmacy, health  insurance, or pharmaceutical policy or regulation, and will have demonstrated the ability to connect policy with strategic positioning. 

The ideal candidate should have the following qualifications:

• Outstanding writing skills and a strong desire to produce excellent work.

• Strong research skills with the ability to assemble and synthesize relevant facts and expert opinions to support policy arguments, and construct persuasive, concise, credible messages.

• A proven track record of delivering accurate, persuasive, high-quality work.

• Agility, flexibility, and the ability to operate in ambiguity. 

• A demonstrated understanding of the PBM, specialty and retail pharmacy, and health insurance industries, including clinical services and activities, and related policy issues. Deeper knowledge of a specific insurance market like Part D, Medicaid, or employer-sponsored health care is a plus. 

• The ability to assess the impact of proposed policies on PBM businesses.

• A solid understanding of the regulatory and legislative processes as an underpinning for policy analysis and advocacy, including analysis of proposed legislation and statutory language and an ability to redline or draft legislative or regulatory language.

• Interpersonal skills, including the ability to understand diverging points of view within the industry and help build consensus, and to work with relevant groups and networks across PCMA and its member companies.

• A desire to work collaboratively with colleagues as an integral part of an action-oriented team.

• Relationships in Washington, DC policy community and the ability to develop and maintain relationships with key people and organizations.

• Excellent prioritization and organizational skills, keen attention to detail, and the ability to work under pressure and meet deadlines while managing multiple projects and priorities simultaneously.

• Proficiency in Microsoft Office applications.

EDUCATION

A bachelor’s degree is required. 

COMPENSATION AND BENEFITS

The annual salary range for this position is $125,000-$165,000. The actual salary offered will be dependent on various factors including, but not limited to, the candidate's job-related knowledge and skills, years of relevant experience, certain professional certifications and qualifications, location, market demands, and other factors permitted by law. Full-time employees are eligible for a discretionary bonus. In addition, full-time employees will be eligible for the firm’s health insurance and other benefits as they currently exist. 

LOCATION

This position is based in Washington, DC. PCMA operates under a hybrid work model with in-person attendance required three days per week in the Penn Quarter area of Washington, D.C.

TO APPLY

Interested individuals should forward a cover letter and resume to opportunities@pcmanet.org.

EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or protected veteran status, or any other legally protected basis, in accordance with applicable law.